3M Tegaderm Transparent Film Dressing Family

APPLICATION AND REMOVAL for IV Therapy

Film Tegaderm Transparent Family Dressing

Secure.

Protect. Stabilize.

3M Tegaderm Transparent Film Dressings

TegadermTM Transparent Film Dressings are the standard for IV site care. They are preferred by clinicians for protecting and securing catheters. Product safety and performance is supported by clinical studies in a wide variety of clinical settings. 3M offers a broad portfolio of sizes, shapes, and delivery systems, providing the clinician and patient with a solution for every transparent dressing need.

Unmatched ease of application

Frame style delivery system makes it quick and easy to achieve precise, secure placement of the dressing every time. Allows for one-handed placement in most applications.

Enhanced site protection

TegadermTM dressings are breathable, letting oxygen in and moisture vapor out, allowing the skin to function normally. The sterile film barrier is impervious to liquids, bacteria, and viruses,* providing an effective barrier to external contaminants.

Affordable
IV site can easily be monitored for early signs of complications without disturbing or changing the dressing. Transparent dressings can be left in place for up to 7 days** for CVC sites compared to 2448 hours for tape and gauze dressings. Less frequent dressing changes save time, supply costs and reduce the potential for site contamination. Special adhesive of 3MTM TegadermTM HP (Holding Power) Transparent Film Dressing Frame Style provides greater holding power under diaphoretic or moist conditions. Consistent performance.

A new look at IV site protection

3MTM TegadermTM CHG (chlorhexidine gluconate) IV Securement Dressing integrates the powerful effectiveness of CHG with the simplicity of a TegadermTM Dressing to support your best practices and protocol. Clear, allowing continuous visualization of the insertion site. As easy-to-use and easy-to-train as a TegadermTM Dressing. Absorbs fluid.

Clinically proven
TegadermTM Dressings are supported by more clinical studies than any other brand of transparent dressings. Internationally recognized guidelines are supported by clinical studies using TegadermTM Transparent Dressings.**

Comfortable for patients

Conformable film flexes with patient movement. Less frequent dressing changes reduce the risk of skin trauma. The adhesive is gentle to the skin, yet has good adherence for extended wear. Dressings with soft cloth borders and deep notches are designed for bulky, multi-lumen catheters and to reduce tension on the dressing and sutures. Notched dressings for peripherally inserted catheters provide a cushion under the catheter hub.

Follow best practice clinical standards

The CDC/HICPAC Guidelines for the Prevention of Intravascular Catheter-Related Infections base PIV and CVC (including dialysis) catheter dressing change recommendations on studies using TegadermTM Transparent Dressings. The INS Standards of Nursing Practice recommend a sterile dressing be applied and maintained, to provide protection of the IV site.

* In vitro testing shows that the transparent film of TegadermTM, TegadermTM HP and TegadermTM CHG dressings provides a viral barrier from viruses 27 nm in diameter or larger while the dressing remains intact without leakage. ** 2002 CDC/HICPAC Guideline for the Prevention of Intravascular Catheter-Related Infections.

Helpful Application Tips

Dressing Selection
Choose a dressing large enough to provide at least a one-inch margin of adherence on dry, healthy skin around the catheter site.

Preventing Skin Damage

Skin Irritation
Make sure skin is free of soaps, detergents and lotions before applying the dressing. Wet preps and soap residues can cause irritation if trapped under the dressing. Ensure patient is not sensitive or allergic to adhesive products prior to application. If patient is allergic to standard TegadermTM Dressings, consider TegadermTM HP Dressings with unique adhesive as an alternative. Meets ISO 10993 standards. Use proper technique when removing dressing or tape. For skin already damaged, use an alcohol-free, film-forming product like 3MTM CavilonTM No Sting Barrier Film (1.0 ml wand applicatorcatalog 3343). Apply to the skin where the dressing will be placed. Do not stretch the dressing during application. Applying an adhesive product with tension can cause mechanical trauma to the skin.

Improving Wear Time

Clip excess hair where dressing will be placed. Shaving is not recommended. Make sure skin is free of soaps, detergents and lotions. Allow all preps and protectants to dry thoroughly before applying the dressing. Adhesive products do not adhere well to wet or oily surfaces. Apply dressing without stretching to avoid adhesion failure. Pinch and seal the dressing snugly around the catheter. Always apply firm pressure to the dressing from the center out to the edges, for best results. The adhesive on a TegadermTM Dressing is pressure-sensitive. Use a uniquely designed dressing like 3M Tegaderm IV Transparent Film Dressing with Border 1650 or 1655 to prevent dressing lift caused by the weight of the catheter or manipulation of the catheter lumens.
TM TM

Skin Stripping

Edge Blisters
(skin redness, small blisters around the edge of the dressing)

Select an absorbent dressing like 3MTM TegadermTM +Pad Film Dressing with Non-Adherent Pad for the initial dressing on sites that ooze.

Site Care
Follow universal precautions as indicated by established protocol for infection prevention. Observe site daily for signs of infection or other complications. If infection is suspected, remove the TegadermTM Dressing, inspect the catheter site directly, and determine appropriate medical intervention.

Fragile Skin or Frequent Dressing Changes

Use an alcohol-free, film-forming product like 3MTM CavilonTM No Sting Barrier Film (1.0 ml wand applicator catalog 3343), to protect fragile skin or skin where frequent removal of adhesive products is required. Apply to the skin where the dressing will be placed.

Learn more and earn one free contact hour by completing the webinar titled:

Balancing Skin Health and Medical Adhesives using the S.P.A.R.E. process

Dressing Implanted Ports

located online at www.3M.com/tegaderm.

Select a dressing size large enough to contain the height of the access needle and a good margin around the insertion site. Do not insert the needle through a transparent dressing.

Improving Securement for Peripheral IV (PIV) Catheters: For added securement, select a specially designed dressing such as 3MTM TegadermTM IV Transparent Film Dressing with Border 1633 (shown) or 3MTM TegadermTM HP (Holding Power) Transparent Film Dressing Frame Style 9519HP. 3

3M Tegaderm CHG Chlorhexidine Gluconate IV Securement Dressing

Application Instructions for 1657 and 1659

Step

Step

Step

Prep the catheter site according to your facilitys protocol. Allow all prep solutions to dry completely. Peel the liner from the dressing, exposing the adhesive surface. Flip over the dressing so the adhesive faces the skin.

Center the CHG gel pad over the catheter site and smooth down the dressing edge. Slightly overlap the soft cloth tabs under the hub or lumens. Press the transparent portion of the dressing into place.

Slowly remove the paper frame, while continuing to smooth down outer edges of the transparent adhesive dressing.

Step

Step

Step

Smooth down the dressing from the center toward the edges, using firm pressure to enhance adhesion.

Remove the pre-cut sterile tape strips from the paper frame. Use them to further secure the hub or tubing of the catheter.

Stabilize any extensions and label dressing according to your facilitys protocol.

Low and Slow Removal Instructions for 1657 and 1659

Step

Step

Step

Remove any tape strips applied to the top of the dressing.

Gently grasp an edge of the dressing and slowly peel the dressing from the skin, toward the insertion site. Keep removal low and slow.

Separate the soft-cloth tabs and gently peel the dressing back toward the insertion site. As the dressing is peeled back, place a thumb or forefinger on the gel pad. To facilitate removal, swab or wipe the area underneath the gel pad with alcohol. NOTE: Sterile normal saline may be used in place of alcohol.

Step

Continue the low and slow removal method until the dressing is completely removed. The dressing should be removed with the gel pad intact. Peel the dressing toward the insertion site, supporting the skin and catheter to minimize risk of catheter dislodgement, and do not pull the dressing straight up from the skin. 4

Access the TegadermTM CHG Dressing Interactive In-service and the Application/Removal training video at www.3M.com/tegadermchg

3M Tegaderm CHG Chlorhexidine Gluconate IV Securement Dressing

Application Instructions for 1658

Step

Step

Step

Prep the catheter site according to your facilitys protocol. Allow all prep solutions to dry completely. Open the package and remove the sterile TegadermTM CHG Dressing.

Peel the liner from the dressing, exposing the adhesive surface. Flip over the dressing so the adhesive faces the skin.

Center the CHG gel pad over the catheter insertion site and smooth down the dressing edge. On sutured catheters, the gel pad can be placed over both insertion and suture sites. Device should be stabilized according to facility protocol.
(Shown PICC secured with sterile Steri-StripsTM ).

Step

Step

Step

Slowly remove the paper frame while continuing to smooth down the outer edges of the transparent adhesive dressing.

Smooth the TegadermTM CHG Dressing from the center toward the edges, using firm pressure to enhance adhesion.

1658 includes one notched tape strip that is placed under the tubing and over the dressing edge to secure the catheter.

Step

On the label, document dressing change information according to your facility protocol. Place the label on the dressing. Secure any catheter lumens or extensions.

Low and Slow Removal Instructions for 1658

Access the TegadermTM CHG Dressing Interactive In-service and the Application/Removal training video at www.3M.com/tegadermchg

Step

Step

Start by removing the tape strips used to secure the tubing. Gently grasp an edge of the TegadermTM CHG Dressing and slowly peel the dressing from the skin, toward the insertion site or in the direction of hair growth. Keep removal low and slow.

As the dressing is peeled back, place a thumb or forefinger on the gel pad. To facilitate removal, swab or wipe the area underneath the gel pad with alcohol. This will temporarily release the gel pad adhesion from the catheter and/or the StatLock. The gel pad should remain intact and remove easily if these recommendations are followed. NOTE: Sterile normal saline may be used in place of alcohol. 5

3M Tegaderm CHG Chlorhexidine Gluconate IV Securement Dressing

Application Instructions for 1660

Step

1A

Step

1B

Step

Step

1A. Prep the catheter site according to your facilitys protocol. Allow all prep solutions to dry completely. Open the package and remove the sterile TegadermTM CHG Dressing. 1B. Peel the liner from the dressing, exposing the adhesive surface.

Flip over the dressing so the adhesive faces the skin. Separate dressing at the center revealing a J slit.

Center the CHG gel pad over the catheter insertion site and smooth down the dressing edge. Device should be stabilized according to facility protocol.
(Shown PICC secured with sterile Steri-StripsTM ).

Step

Step

Step

Slowly remove the paper frame while continuing to smooth down the outer edges of the transparent adhesive dressing. Smooth the TegadermTM CHG Dressing from the center toward the edges, using firm pressure to enhance adhesion.

Remove the pre-cut sterile tape strips from the paper frame. Use them to further secure the hub or tubing of the catheter.

Secure any catheter lumens or extensions.

On the label, document dressing change information according to your facility protocol. Place the label on the dressing.
Step

Low and Slow Removal Instructions for 1660

Access the TegadermTM CHG Dressing Interactive In-service and the Application/Removal training video at www.3M.com/tegadermchg

Step

Step

Start by removing the tape strips used to secure the tubing. Gently grasp an edge of the TegadermTM CHG Dressing.

Separate the soft-cloth tabs and gently peel the dressing back toward the insertion site. Slowly peel the dressing from the skin, toward the insertion site or in the direction of hair growth. Keep removal low and slow.As the dressing is peeled back, place a thumb or forefinger on the gel pad.

3M Tegaderm CHG Chlorhexidine Gluconate IV Securement Dressing

Tips for Removal 1657, 1658, 1659 and 1660
Moisture may be beneficial whenever removing the gel pad from a securement device (i.e., StatLock), if a blood clot or sutures are present beneath the gel pad, or if the gel pad is covering any external catheter or an implanted port access needle.
Tip

Using sterile alcohol or chlorhexidine wipes or swab stick(s):

OR

Moist alcohol wipes

Swab stick

To facilitate removal, use several moist wipes or swab stick(s). You should be able to squeeze moisture from the swab stick or wipe(s). It may help to squeeze fluid onto the corner of the gel pad. Swab or wipe the area underneath the gel pad to facilitate removal while peeling the dressing back.

Tip

Using sterile normal saline or sterile water (with or without preservative):

OR

Saline syringe

Sterile normal saline soaked gauze

Sterile normal saline from a pre-filled syringe or from a tracheal lavage (tracheal bullet) may be used. If using a multi-dose vial, draw up approximately 1-3 mL. After exposing a corner of the gel pad, place a few drops (not excess) of solution on the gel pad for quick and easy removal. Peel the dressing and gel pad back, using another drop or two of solution if needed. If the integrity of the gel pad is compromised or if the gel pad separates from the transparent dressing, it can easily be removed with sterile normal saline soaked gauze. (Pictured: Tegaderm CHG Dressing 1657)
TM

Access the Tegaderm CHG Dressing Interactive In-service and the Application/Removal training video at www.3M.com/tegadermchg
TM

3M Tegaderm CHG Chlorhexidine Gluconate IV Securement Dressing

Dressing Change
Tegaderm CHG Dressing should be changed:
Every 7 days or according to established facility protocol. If there is visible drainage outside the gel pad. If the dressing becomes loose, soiled or compromised in any way. If the site is obscured or no longer visible. If the dressing appears to be saturated or overly swollen.

NOTE: TegadermTM CHG Dressing is not designed to absorb large quantities of blood or drainage.

To test if the dressing if fully saturated, lightly press down on the gel pad with your finger. Remove your finger.

If the gel pad remains displaced once your finger is removed, the dressing should be changed.

Additional Applications:

3MTM TegadermTM CHG (chlorhexidine gluconate) IV Securement Dressing 1658 shown with 3MTM Steri-StripTM Adhesive Skin Closures on PICC.

3MTM TegadermTM CHG (chlorhexidine gluconate) IV Securement Dressing 1659 shown on pediatric PICC with WingGuardTM.

Access the TegadermTM CHG Dressing Interactive In-service and the Application/Removal training video at www.3M.com/tegadermchg
3MTM TegadermTM CHG (chlorhexidine gluconate) IV Securement Dressing 1657 shown on Arterial Line.

3M Tegaderm IV Transparent Film Dressing with Border

Application Instructions for 1650 and 1655

Step

Step

Step

Prep the catheter site according to your facilitys protocol. Let all prep solutions dry completely. Peel the back liner from the dressing, exposing the adhesive surface of the dressing.

Center the transparent portion of the dressing over the insertion site.

Slightly overlap the soft cloth tabs under the hub or lumens. Press the transparent portion of the dressing into place.

Step

Step

Step

While slowly peeling off the paper frame, smooth down the dressing edges with your fingertips. Next, smooth down the dressing from the center toward the edges, using firm pressure.

Remove the pre-cut sterile tape strips from the paper frame. Use them to further secure the hub or tubing of the catheter.

Stabilize any extensions and label dressing according to your facilitys protocol.

Taping alternative for catheter securement for a Central Venous Catheter IJ Site*

Step

Step

After dressing has been applied, to add additional securement and stabilization to the catheter site, use a 2 inch medical tape (in this instance, we used 3MTM MediporeTM H Soft Cloth Surgical Tape) split the tape in the middle to approximately 1 inch in depth.

Place the tape adhesive side down over the top of the extensions of the catheter and secure the notch together. Stabilize any catheter extensions.

* Not intended to replace sutures.

3M Tegaderm IV Transparent Film Dressing with Border

Removal Instructions for 1650 and 1655

Step

Step

Step

Remove any tape strips applied to the top of the dressing.

Separate the soft-cloth tabs and gently peel the dressing back toward the insertion site.

Avoid skin trauma by peeling the dressing back on itself, rather than pulling it up from the skin. A medical adhesive remover can also be used.

Additional Applications:

3MTM TegadermTM IV Transparent Film Dressing with Border 1650 specifically designed for PICC lines, larger window accommodates catheter tubing.

3MTM TegadermTM IV Transparent Film Dressing with Border 1650 designed for difficult to dress CVC catheters. Example is a pulmonary artery catheter inserted in IJ.*

* TegadermTM dressings do not replace primary securement (e.g., sutures) for non-tunneled CVC and arterial catheters.

10

3M Tegaderm IV Securement Dressing

Application Instructions for 9525HP

Designed for the BD Nexiva Closed IV Catheter System

Step

Step

After catheter insertion, stabilize catheter with one hand. With other hand, grasp paper end of dressing, turn it adhesive side down and bend paper end slightly with thumb.

Place dressing so that top edge of window lines up with bottom edge of catheter wings.

Step

1
Step

Prep the catheter site according to your facilitys protocol. Let all prep solutions dry completely. Remove liner. Place dressing, adhesive side up, on sterile side of dressing package.

Step

Press down on slit side of dressing. Separate dressing slit at notched corner revealing a J-shaped slit.

Pull extension tubing through the slit ensuring that tubing rests at end of J-curve. Overlap edges to close slit and press in place.

Step

Step

Step

Apply pressure over entire dressing surface.

Slowly remove the frame while smoothing down dressing edge.

Smooth the dressing from the center toward the edges, using firm pressure.

Step

Step

10

Remove soft cloth tape from liner and apply to secure extension tubing.

Record information on tape label and place it on or near dressing.

Removal Instructions for 9525HP

Step

Step

2
11

Remove tape strips. Then gently grasp soft cloth on both sides of slit and separate.

Slowly peel dressing back over itself while stabilizing catheter and supporting skin.

3M Tegaderm IV Transparent Film Dressing with Border

Designed for Infant and Pediatric Needs Application Instructions for 1610

Step

Step

Step

Prep the catheter site according to your facilitys protocol. Let all prep solutions dry completely. 3MTM CavilonTM No Sting Barrier Film may be used with TegadermTM Dressing. Apply CavilonTM No Sting Barrier Film evenly to the skin. Avoid the area immediately surrounding the insertion site.

Remove the liner from the dressing, exposing the adhesive surface of the dressing.

Center the transparent portion of the dressing over the insertion site.

Step

Step

Step

Press the transparent portion of the dressing into place.

Slightly overlap the soft cloth tabs under the hub or extension. Press into place. The hub should rest on the soft cloth.

While slowly peeling off the paper frame, smooth down the dressing edges with your fingertips. Next, smooth down the dressing from the center toward the edges, using firm pressure.

Step

Step

Remove the pre-cut sterile tape strips from the paper frame. Use them to further secure the hub or tubing of the catheter.

Stabilize any extensions and label dressing according to your facilitys protocol.

Removal Instructions for 1610

Step

Step

Step

Remove any tape strips applied to the top of the dressing.

Separate the soft-cloth tabs and gently peel the dressing off toward the insertion site.

Avoid skin trauma by peeling the dressing back on itself, rather than pulling it up from the skin. A medical adhesive remover can also be used.

12

3M Tegaderm Transparent Film Dressing with Border

Application Instructions for 1614, 1616 and 9519HP

Step

Step

Step

Prep the catheter site according to your facilitys protocol. Let all prep solutions dry completely. Peel the liner off the dressing. Position the dressing so the transparent portion covers the insertion site and the notch portion rests on the catheter hub. Press the transparent portion of the dressing into place.

While slowly peeling off the paper border, smooth down the dressing edge. Smooth the dressing from the center toward the edges, using firm pressure to enhance adhesion. Document site care with provided label.

Stabilize catheter with additional taping technique, as needed.

IV Securement using Chevron Taping Technique

After the transparent adhesive dressing has been placed over the IV site, take approximately inch by 4 inch medical tape and place under the hub or suture wing of the catheter, adhesive side up. Taking one end of the tape strip, fold diagonally across dressing. Repeat with the other side forming a V shape on the dressing. Using the second tape strip adhesive side down, across the base of the Chevron and secure. This will provide additional securement and stabilization of the catheter. Stabilize extension sets by forming a J loop, stabilize at the loop and at the end of the extension with medical tape.
Refer to page 16 for U Taping and H Taping Technique Instructions.

Chevron taping technique on 3MTM TegadermTM Transparent Film Dressing with Border 1614.

Removal Instructions for 1614, 1616 and 9519HP

Step

Step

Support the skin and catheter while removing the dressing to prevent skin trauma or catheter dislodgement. Remove any tape strips applied on top of the dressing. Alcohol or lotion can be applied, if necessary, to assist in loosening the tape strips.

Grasp one edge of the transparent dressing and slowly peel it away from the catheter in the direction of hair growth. Avoid skin trauma by peeling the dressing back, rather than pulling it up from the skin. Or gently pull the transparent portion straight out to stretch it and release adhesion. A medical adhesive solvent or lotion can also be used to facilitate dressing removal. 13

3M Tegaderm Transparent Film Dressing with Border

Additional Applications:

3MTM TegadermTM Transparent Film Dressing with Border 1616 shown on PICC.

3MTM TegadermTM Transparent Film Dressing with Border 1616 with horizontal or vertical notches for single or dual lumen ports.

3MTM TegadermTM Transparent Film Dressing with Border 1614 shown on pediatric foot PIV.

3MTM TegadermTM Transparent Film Dressing with Border 1616 designed to increase catheter securement and wear time.

3MTM TegadermTM HP (Holding Power) Transparent Film Dressing 9519HP shown on PIV.

14

3M Tegaderm IV Transparent Film Dressing with Border

Application Instructions for 1633 and 1635

Step

Step

Step

Prep the catheter site according to your facilitys protocol. Let all prep solutions dry completely. Remove the center panel from the dressing. The tape strips will remain attached to the liner.

Remove the liner from the dressing, exposing the adhesive surface of the dressing.

Center the transparent portion of the dressing over the insertion site.

Step

Step

Step

Slightly overlap the soft cloth tabs under the hub or lumen. Press the transparent portion of the dressing into place.

While slowly peeling off the paper frame, smooth down the dressing edges with your fingertips. Next, smooth down the dressing from the center toward the edges, using firm pressure.

Remove the pre-cut sterile tape strips from the center panel. Use them to further secure the hub or tubing.

Additional Application:

Step

3MTM TegadermTM IV Transparent Film Dressing with Border 1635 shown on subclavian catheter site.

Stabilize any extensions and label dressing according to your facilitys protocol.

Removal Instructions for 1633 and 1635

Step

Step

Remove any tape strips applied to the top of the dressing.

Separate the soft-cloth tabs and gently peel the dressing back toward the insertion site. Avoid skin trauma by peeling the dressing back on itself, rather than pulling it up from the skin. A medical adhesive remover can also be used. 15

3M Tegaderm Transparent Film Dressing Frame Style

Application Instructions for 1624W and 1626W and other TegadermTM Transparent Film Frame Style Dressings

Step

Step

Step

Prep the catheter site according to your facilitys protocol. Let all prep solutions dry completely. Remove the liner from the dressing, exposing the adhesive surface of the dressing. NOTE: For dressings with the center window, remove and discard the center window before removing the liner.

Center the transparent portion of the dressing over the insertion site. Press the transparent portion of the dressing into place. Do not stretch the dressing during application.

While slowly peeling off the paper frame, smooth down the dressing edges with your fingertips.

Additional Application:
Step

Step

Next, smooth down the dressing from the center toward the edges, using firm pressure.

Stabilize extensions and label dressing according to your facilitys protocol. 3MTM TegadermTM IV Transparent Film Dressing Frame Style 1624W shown on PIV.

Securing IV using U Taping Technique

After transparent adhesive dressing has been placed over the IV site, take approximately inch by 4 inch medical tape and place under the hub or suture wing of the catheter, adhesive side up. Fold each end down, form a broad U shape. Try to keep approximately inch of adhesive visible on each side of the catheter. Place second tape strip adhesive side down across the bottom of the U. This will provide additional securement and stabilization of the catheter.

Securing IV using H Taping Technique

To help stabilize winged catheters, a sterile tape strip may be applied over each side of the wing and the dressing applied.

U taping technique on 3MTM TegadermTM Transparent Film Dressing Frame Style 1626W.

U taping technique on 3MTM TegadermTM Transparent Film Dressing with Border 1614.

H taping technique on 3MTM TegadermTM Transparent Film Dressing with Border 1614.

16

3M Tegaderm Transparent Film Dressing Frame Style

Removal Instructions for 1624W and 1626W and other TegadermTM Transparent Film Frame Style Dressings

Step

Step

Step

Remove any tape strips applied to the top of the dressing. If removing the dressing, remove tape strips toward the insertion site. To leave the dressing intact, remove tape strips away from the insertion site.

To aid in lifting a dressing edge, use the documentation label or secure a piece of medical tape to one corner and rub firmly.

Support the skin and catheter with your fingers while removing the dressing.

Step

Use one of the following techniques:

Low and slow: using the label or tape tab, slowly peel the dressing from the skin. Fold the dressing back over itself rather than pulling it up from the skin. Remove the dressing from the hub toward the insertion site.

OR

Stretch release: grasp one edge of the dressing and gently pull it straight out to stretch and release adhesion. NOTE: A medical adhesive solvent can also be used to facilitate dressing removal.

17

3M Tegaderm Transparent Film Dressings

Reducing Infection Risks
Choose a dressing size that will adequately cover the insertion site and the catheter. Clip excess hair, as required. Do not shave the skin because of the potential for microabrasions. Before insertion of the catheter, prepare the skin with an approved antimicrobial skin prep and according to your facilitys protocol. At each dressing change, pay careful attention to disinfecting the skin around and under the catheter. Carefully disinfect injection ports before access. Inspect the site frequently for early signs of complications. Transparent dressings allow easy site assessment without removing the dressing. Change the dressing according to your facilitys protocol, or when it becomes wet, loosened or soiled. Edge lift of a transparent dressing is not necessarily failure, unless there is a channel from the edge of the dressing to the insertion site of the IV catheter. Use maximum barrier precautions for central venous catheter (CVC) insertion and sterile technique for site care. Use aseptic technique for peripheral IV (PIV) insertion and site care. Protect against skin irritation. Compromised skin near the catheter insertion site increases the risk of complications. No dressing can substitute for your professional site care.

Learn more and earn one free contact hour by completing the webinar titled: located online at www.3M.com/tegaderm.

Back to Basics: IV Site Care

Precautions:
1. Stop any bleeding at the site before applying the dressing. 2. Do not stretch the dressing during application as tension can cause skin trauma. 3. Make sure the skin is clean, free of soap residue and lotion and allowed to dry thoroughly before applying the dressing to prevent skin irritation and to ensure good adhesion. 4. The dressing may be used on an infected site, only when under the care of a health care professional. 5. Antimicrobial ointments containing polyethylene glycols may compromise the strength of the TegadermTM HP Transparent Film Dressings. 6. TegadermTM Transparent Dressings should not be re-sterilized by gamma, E-beam or steam methods.

18

3M Tegaderm Transparent Film Dressing Family

Ordering Information:
CHG
Antimicrobial
Catalog No. Dressings/ Boxes/ HCPCS NHRIC/NDC No. Size Box Case Code* 3M Tegaderm CHG Chlorhexidine Gluconate IV Securement Dressing 1657 3 in x 4 in 25 4 A6257 8333-1657-01 8,5 cm x 11,5 cm 1658 4 in x 4 in 25 4 A6257 8333-1658-01 10 cm x 12 cm 1 /8 in 1659 4 in x 6 25 4 A6258 8333-1659-01 10 cm x 15,5 cm 3 1660 2 in x 3 /8 in 25 4 A6257 8333-1660-01 7 cm x 8,5 cm Catalog No. Dressings/ Boxes/ HCPCS NHRIC/NDC No. Size Box Case Code* 3M Tegaderm IV Transparent Film Dressing with Border 1610 2 in x 2 in 100 4 A6257 8333-1610-01 5 cm x 5,7 cm 1633 2 in x 3 in 100 4 A6257 8333-1633-01 7 cm x 8,5 cm 1635 3 in x 4 in 50 4 A6257 8333-1635-01 8,5 cm x 10,5 cm 1650 4 in x 6 1/8 in 25 4 A6258 8333-1650-01 10 cm x 15,5 cm 1655 3 in x 4 in 50 4 A6257 8333-1655-01 8,5 cm x 11,5 cm 3M Tegaderm I.V. Advanced Securement Dressing with Comfort Adhesive Technology 1683 2 in x 2 in 100 4 A6257 8333-1683-01 6,5 cm x 7 cm 1685 3 in x 4 in 50 4 A6257 8333-1685-01 8,5 cm x 11,5 cm 1688 4 in x 4 in 50 4 A6258 8333-1688-01 10 cm x 12 cm 3M Tegaderm Transparent Film Dressing with Border 1614 2 3/8 in x 2 in 100 4 A6257 8333-1614-05 6 cm x 7 cm 1616 4 in x 4 in 50 4 A6258 8333-1616-05 10 cm x 12 cm 3M Tegaderm HP (Holding Power) Transparent Film Dressing Frame Style 9519HP 2 3/8 in x 2 3/8 in 100 4 A6257 8333-9519-01 6 cm x 6 cm Catalog No. Dressings/ Boxes/ HCPCS NHRIC/NDC No. Size Box Case Code* 3M Tegaderm IV Securement Dressing Designed for the BD Nexiva Closed IV Catheter System 9525HP 2 in x 2 in 100 4 A6257 8333-9525-01 6,5 cm x 7 cm Catalog No. Rolls/ Boxes/ HCPCS NHRIC/NDC No. Size Box Case Code* 3M Tegaderm Transparent Film Roll (Non-Sterile) 16002 2 in x 11 yd A62571 4 8333-1600-20 5 cm x 10 m A6259 16004 4 in x 11 yd A62571 4 8333-1600-40 10 cm x 10 m A6259 16006 6 in x 11 yd A62571 4 8333-1600-60 15 cm x 10 m A6259 Catalog No. Dressings/ Boxes/ HCPCS NHRIC/NDC No. Size Box Case Code* 3M Tegaderm Transparent Film Dressing Frame Style 1622W 1 in x 1 in 100 4 A6257 8333-1622-05 4,4 cm x 4,4 cm 3 1624W 2 /8 in x 2 in 100 4 A6257 8333-1624-05 6 cm x 7 cm 1626W 4 in x 4 in 50 4 A6258 8333-1626-05 10 cm x 12 cm 1630 4 in x 4 in 50 4 A6258 8333-1630-05 10 cm x 11,5 cm 3M Tegaderm Transparent Film Dressing Frame Style (Small quantity packages) 9505W 2 3/8 in x 2 in 20 10 A6257 8333-9505-05 6 cm x 7 cm 9506W 4 in x 4 in 10 10 A6258 8333-9506-05 10 cm x 12 cm 3M Tegaderm HP (Holding Power) Transparent Film Dressing Frame Style 9534HP 2 3/8 in x 2 in 100 4 A6257 8333-9534-01 6 cm x 7 cm 9536HP 4 in x 4 in 50 4 A6258 8333-9536-01 10 cm x 12 cm 9543HP 4 in x 4 in 12 4 A6258 8333-9543-01 11,5 cm x 12 cm 9545HP 2 1/8 in x 2 in 50 6 A6257 8333-9545-01 5,4 cm x 6,4 cm 9546HP 4 in x 4 in 50 4 A6258 8333-9546-01 10 cm x 11,5 cm 9548HP 5 in x 6 in 10 8 A6258 8333-9548-01 14 cm x 16,5 cm 3M Tegaderm Transparent Film Dressing Frame Style 1634 2 3/8 in x 2 in 100 4 A6257 8333-1634-01 6 cm x 7 cm 1626 4 in x 4 in 50 4 A6258 8333-1626-01 10 cm x 12 cm 1627 4 in x 10 in 20 4 A6258 8333-1627-01 10 cm x 25 cm 1628 6 in x 8 in 10 8 A6258 8333-1628-01 15 cm x 20 cm 1629 8 in x 12 in 10 8 A6259 8333-1629-01 20 cm x 30 cm 3M Tegaderm Plus Transparent Dressing (Adhesive with Iodophor) 9524 2 3/8 in x 2 in 50 4 A6257 8333-9524-01 6 cm x 7 cm / 9526 4 in x 5 78 in 25 4 A6258 8333-9526-01 10 cm x 15 cm 3M Tegaderm Transparent Film Dressing First Aid Style 1620 2 3/8 in x 2 in 100 6 A6257 8333-1620-01 6 cm x 7 cm 1621 4 in x 4 in 50 4 A6258 8333-1621-01 10 cm x 12 cm

Advanced IV

For more information visit our website at www.3M.com/tegaderm, contact your 3M Skin & Wound Care representative, or call the 3M Health Care Customer Helpline at 1-800-228-3957. These products can be ordered from your local distributor. Outside the United States contact the local 3M subsidiary.
* HCPCS codes as referenced in the Local Coverage Determination Surgical Dressing Policy.

Disclaimer: HCPCS codes have been provided to assist you in the preparation of Medicare Part B claims. Please note, however, that the reimbursement information provided by 3M Health Care and its representatives is intended to provide general information relevant to coverage and coding for 3M products. Insurers' reimbursement policies can vary and the use of the codes discussed here does not guarantee that an insurer will cover or pay at any particular level. Health care providers should exercise independent clinical judgment in choosing the codes which most accurately describe the products provided.

Basic

Standard

Roll

19

Skin & Wound Care Division 3M Health Care

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3M, Cavilon, Medipore, Steri-Strip and Tegaderm are trademarks of 3M. Please recycle. Printed in U.S.A. Used under license in Canada. 3M 2005, 2007, 2008, 2009, 2010. All rights reserved. 70-2008-8119-4 (910.3) DPI